Individual
MR. THOMAS EDGAR JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 443-8030
(252) 443-8397
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 443-8030
(252) 443-8397
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31361
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050014
—
NC
Enumeration date
08/08/2006
Last updated
01/02/2008
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